Organization Name: | DIALYSIS CENTERS OF GREATER TOLEDO LLC |
NPI Number: | 1043597008 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS L. WEINBERG (AUTHORIZED OFFICIAL) |
Mailing Address: | 7635 Sylvania Ave Sylvania |
State: | OH US |
Postal Code: | 435609517 |
Phone Number: | 4195172002 |
Fax Number: | 4195172003 |
NPI Enumeration Date: | 11/04/2011 |
NPI Last Update Date: | 10/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
Taxonomy Definition: |